The provisions of this 21.222 issued under section 506 of The Administrative Code of 1929 (71 P.S. 667.6); and 23 Pa.C.S. (a)A candidate for the licensing examination may submit an application together with the required fee no sooner than 90 days prior to completing a professional nursing education program. (2)An approved program which deems a new or different certification specialty title for graduates of that program requires approval as a new CRNP education program. The provisions of this 21.335 adopted December 3, 2004, effective December 4, 2004, 34 Pa.B. 2677. (4)Submit 18 copies of the tentative planned education program to the Board. 244(a)(3)). (f)Evening and night assignments shall be considered part of the curriculum only in terms of the objectives to be achieved and if supervision is provided by the nursing faculty. Laws, c. 26, 1 ; 1920. 212(1)). . 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 223(b)) in accordance with the schedule of civil penalties in 43b.18a (relating to schedule of civil penaltiesnurses). Act 60 of 2021. The provisions of this 21.151 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (6)The registered nurse possesses the knowledge, skills and abilities related to the management of patients receiving intravenous conscious sedation with evaluation of competence on a periodic basis. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. (IV)has been determined to be a sexually violent predator under 42 Pa.C.S. 7822. (f)The resources, facilities and services of the controlling institution shall be available to and used by the educational unit in nursing and shall be adequate to meet the needs of the faculty and the students. The provisions of this 21.16 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. A professional nurse who does not hold at least one graduate degree in nursing, but who has experience in nursing practice, nursing education and administration may be considered on an individual basis. 1984); reversed in part 499 A.2d 289 (Pa. 1995); on remand 505 A.2d 359 (Pa. Cmwlth. 279.1(a)(3) and (7)). The Board recommends that only one class be admitted per year. 7822. Immediately preceding text appears at serial page (335546). (d)Policies in effect for faculty members of the educational unit in nursing shall be those in effect for faculty members throughout the controlling institution, except where specified otherwise in this chapter. The provisions of this 21.413 adopted February 20, 1987, effective February 21, 1987, 17 Pa.B. 186); and section 1 of The Professional Nursing Law (63 P.S. (6)The total number of hours requested. The Board may perform audits on registered nurses to determine compliance with the continuing education requirements. 2827. If faculty are providing onsite preceptorship, the maximum ratio is two students per faculty member. The provisions of this 21.371 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. (9)A copy of the proposed budget projected. (iv)Using or causing the use of any herb, nutritional supplement or drug affecting consciousness for the purpose of engaging in conduct that would constitute a sexual impropriety or sexual violation. 2061. (d)An applicant who holds certification from the Board who is applying for an additional certification under 21.812(b) shall submit, in addition to the documentation required under subsections (a) and (b), documentation of the following: (1)Official transcript from the applicants CNS program and any additional educational programs, including degree awarded, demonstrating a concentration in the specialty in which the applicant is seeking certification. (5)An individual who enhances faculty-directed clinical learning experiences by guiding selected clinical activities shall be designated as a clinical preceptor. (b)A student who meets the description in subsection (a) and who also desires to practice as a registered nurse while participating in the training program shall submit an application for licensure by endorsement and obtain a temporary practice permit as provided by 21.28 (relating to licensure by endorsement). The Board will notify the program in writing of this action. The Medical Cannabis Act, provides for the medical use of cannabis (marijuana) in Pennsylvania for the treatment of certain medical conditions. (4)Library facilities and resources, which are planned and maintained to meet the specific needs of the student and the faculty, as follows: (i)The physical equipment of the library shall include adequate lighting and ventilation, sufficient tables and comfortable chairs, space for proper display of library holdings and exhibits and appropriate work space for the librarian. (3)Additional instructors consistent with the size and needs of the programs. The provisions of this 21.363 adopted June 2, 2006, effective June 3, 2006, 36 Pa.B. Title 848 of the Indiana Administrative Code contains rules set forth by the Indiana State Board of Nursing for nursing education and the practice of nursing in . The curriculum must have the following components incorporated into each CRNP program: (1)Graduate nursing core. Challenges with understaffing existed before the pandemic due to cost-cutting measures, disease complexity, and an aging population. (c)A cooperating agency providing faculty and instruction for clinical nursing courses shall be responsible for submitting 15 copies of proposed curriculum changes to the Board prior to the announcement of change to the affiliating school. The Board will hold a hearing, within 30 days of the submission of documentation, at which the program official may appear and present additional evidence to show cause as to why approval should not be withdrawn. Faculty assistants shall have a baccalaureate degree in nursing and shall give evidence of a plan for obtaining a graduate degree in nursing. (1)In addition to lecture-based CPE courses, LDNs may apply to the Board for approval of CPE credit and the Board may, upon review by the LDN Committee, grant credit for the following: (i)Case presentations, such as grand rounds or patient case studies. 6383(b)(2). (d)The following fees related to continuing education are charged by the Board: Approval of each hour of registered nurse continuing education activity by sources not listed in 21.134(a) (relating to continuing education sources) $115, Renewal of approval of registered nurse continuing education activity by sources not listed in 21.134(a) $35, (e)The following fee is charged for evaluations of programs requiring Board approval under 21.30a(a)(2) (relating to continued competency)$285. The states duty to protect those who receive nursing care is the basis for a nursing license. (f)An applicant for licensure by endorsement shall complete at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) (relating to child abuse recognition and reportingmandatory training requirement). 2061; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. 212.1(k) and 222(a)). Practical nurse programs require approval for the following reasons: (1)To safeguard the preparation of practical nurses, and to assure safe standards of nursing practice in this Commonwealth. SpecialtyThe area of practice or population in which a CRNP is certified by the Board. One hour of CPE credit will be given for each 50-minute clock hour of CPE activity. 667.6); amended under sections 2.1(k), 11(b), 11.2 and 12.1 of The Professional Nursing Law (63 P.S. Immediately preceding text appears at serial pages (261719) to (261720). This section cited in 49 Pa. Code 21.5 (relating to fees); and 49 Pa. Code 21.822 (relating to biennial renewal of certification). (1)Submit an annual report detailing the progress of the transition to the Board. N 1-9 . A nurse licensed under this subchapter to practice in this Commonwealth. Under 23 Pa.C.S. An educator holding a valid Pennsylvania certificate as a PK-12 Principal is qualified to perform the following: Instructional leadership focusing on teaching and learning. They contain general statements of appropriate professional nursing actions. (e)The resources, facilities and services of the college or university must be available to and used by the CRNP program and be adequate to meet the needs of the faculty and students. (a)The registered nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. 2677; amended April 29, 1983, effective April 30, 1983, 13 Pa.B. 2677. The provisions of this 21.805 amended July 26, 2019, effective July 27, 2019, 49 Pa.B. This section cited in 49 Pa. Code 21.151 (relating to application for examination); and 49 Pa. Code 21.155 (relating to licensure by endorsement). The physical examination must include an evaluation of the heart, lungs, vital signs, pain level, and body functions that relate to the patients specific complaint. (3)Identifies goals and plans for nursing care. (a)An IV therapy course provided as part of the LPN education curriculum in 21.203 (relating to specific curriculum requirements for practical nursing programs) or as a stand-alone course offered by a provider shall include instruction of the topics in 21.203(d)(8). Budgetary funds shall be allocated by the controlling agency to administer the program effectively. The provisions of this 21.159 adopted December 10, 1982, effective December 11, 1982, 12 Pa.B. The provisions of this 21.284b adopted December 11, 2009, effective December 12, 2009, 39 Pa.B. (ii)Records of preparation and experience, including college transcripts. The provisions of this 121.22 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. An Agency Data form, provided by the Board, shall be submitted for each new clinical agency. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. Governor-appointed , An Act amending the act of May 22, 1951 (P.L.317, No.69), known as The Professional Nursing Law, further providing for definitions, for State Board of Nursing, for dietitian-nutritionist . The number of candidates for each class shall be determined by the educational and clinical resources which the program can provide. (a)Licenses for practical nurses expire on June 30 of each biennium in the even-numbered years. Immediately preceding text appears at serial page (396910). RegisteredNurses licensed in Pennsylvania may NOT delegate nursing functions to unlicensed persons. (3)Administration of IV fluids and medications. (3)A description of specific methodologies and tools that evaluate the learners achievement of the objectives. Patient (includes residents and clients)A person, other than a spouse or immediate family member, who receives professional services from a licensed practical nurse, regardless of whether or not the nurse receives remuneration for the services. (d)The Board recognizes standards of practice and professional codes of behavior, as developed by appropriate nursing associations, as the criteria for assuring safe and effective practice. 218.5(e)). This section cited in 49 Pa. Code 21.411 (relating to interpretations regarding the general functions of registered nursesstatement of policy); 49 Pa. Code 21.412 (relating to interpretations regarding venipuncture, intravenous fluids, resuscitation and respirationstatement of policy); 49 Pa. Code 21.413 (relating to interpretations regarding the administration of drugsstatement of policy); and 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). 667.6), unless otherwise noted. (d)Reinstatement of lapsed license or reactivation of inactive license. The provisions of this 21.28 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. (b)Programs must measure outcomes of graduates at 1-year and 3-year intervals postgraduation. (c)Appropriate cumulative student health records shall be maintained throughout the enrollment of the student. Providers and credentialing organizations shall maintain records of course attendance for at least 5 years. (a)The Board will assign registered nurses to one of the following license expiration dates: (1)April 30 in the even-numbered years. An advanced practice registered nurse, registered nurse, or licensed practical nurse is responsible for the delegation and supervision of nursing tasks to unlicensed assistive personnel. (b)Engaging in conduct constituting a sexual violation or sexual impropriety is unprofessional conduct and will subject the licensee to disciplinary action under section 14 of the act (63 P.S. 6994. (a)A practical nurse who has graduated from an approved practical nursing program in the United States or Canada and who obtained licensure in another jurisdiction of the United States or Canada upon having passed an examination considered by the Board to be equivalent to the examination required for licensure in this Commonwealth may be granted licensure by endorsement. Cmwlth. (2)Discriminate, while providing nursing services, on the basis of age, marital status, sex, sexual preference, race, religion, diagnosis, socioeconomic status or disability. (2)Pay the biennial renewal of licensure fee in 21.5 (relating to fees). In 1994, the Board of Nursing attempted to pass regulations which included delegation. Nurses are educated and accountable for the nursing care provided to healthcare consumers. 6196. 2103. Application shall be made prior to the service or within 90 days of the publication to assure that the Board will approve the service or publication and to allow the Board to determine the number of contact hours that will be granted. (3)The length of appointment of an interim or acting nurse administrator of a nursing education program may not exceed 1 year. The provisions of this Subchapter B adopted January 20, 1967; amended March 26, 1976, effective March 27, 1976, 6 Pa.B. (v)A copy of the agreement or contract between the cooperating agency and the affiliating school. 2115; amended September 8, 2000, effective September 9, 2000, 30 Pa.B. 21.824 (relating to inactive status and reactivation); and 49 Pa.B. Unless the patient is in an inpatient care setting, the patient shall be specifically counseled about dosage levels, instructions for use, frequency and duration of use and possible side effects. A volunteer license shall be valid for the biennial period for which it is issued, subject to biennial renewal. The provisions of this 21.287 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. (d)The Board may, in addition to any other disciplinary or corrective measure set forth in this section, levy appropriate civil penalties as authorized by section 13(b) of the act (63 P.S. RN's must delegate numerous tasks, and delegation is a core nursing responsibility. The nurse administrators qualifications are as follows: (1)The nurse administrator of a baccalaureate degree nursing education program shall hold at least one graduate degree in nursing. Immediately preceding text appears at serial pages (9717) to (9718). (i)Course syllabi that identify all aspects of each course must be developed and readily available. The administration of anesthesia is a proper function of a registered nurse and is a function regulated by this section; this function may not be performed unless: (1)The registered nurse has successfully completed the educational program of a school for nurse anesthetists accredited by the Council on Accreditation of Education Programs of Nurse Anesthesia of the American Association of Nurse Anesthetists. Nurse practice acts require the registered nurse to provide appropriate supervision for all delegated tasks. (7)The Boards written decision will be a final decision of a governmental agency subject to review under 2 Pa.C.S. The provisions of this 21.134 issued under sections 2.1(k) and 12.1 of The Professional Nursing Law (63 P.S. The provisions of this 21.722 amended December 16, 2016, effective December 17, 2016, 46 Pa.B. (4)Specify the circumstances and how often the collaborating physician will personally see the patient. This section cited in 49 Pa. Code 21.20 (relating to licensure by examination); 49 Pa. Code 21.28 (relating to licensure by endorsement); 49 Pa. Code 21.29 (relating to expiration and renewal of license); 49 Pa. Code 21.131 (relating to continuing education); 49 Pa. Code 21.150 (relating to licensure by examination); 49 Pa. Code 21.155 (relating to licensure by endorsement); 49 Pa. Code 21.156 (relating to renewal of license); 49 Pa. Code 21.271 (relating to certification requirements); 49 Pa. Code 21.331 (relating to biennial renewal of certification); 49 Pa. Code 21.603 (relating to applications); 49 Pa. Code 21.605 (relating to biennial renewal); 49 Pa. Code 21.721 (relating to qualifications for licensure); 49 Pa. Code 21.723 (relating to license renewal); 49 Pa. Code 21.724 (relating to continuing education); 49 Pa. Code 21.811 (relating to qualifications for initial certification); 49 Pa. Code 21.812 (relating to qualifications for certification by endorsement; additional certification); and 49 Pa. Code 21.822 (relating to biennial renewal of certification). The provisions of this 21.14 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 4755; amended July 26, 2019, effective July 27, 2019, 49 Pa.B. (2)The registered nurse who performs venipunctures has had instruction and supervised practice in performing venipunctures. (a)In addition to the standards of conduct for a professional nurse set forth in 21.18 (relating to standards of nursing conduct), a CNS shall perform only those services that comprise the practice of professional nursing as defined in section 2(1) of the act (63 P.S. Program, activity or serviceAny of the following in which children participate and which is sponsored by a school or a public or private organization: (iv)A community or social outreach program. (r)The curriculum for baccalaureate nursing programs shall give evidence of providing learning experiences which will prepare graduates for professional nursing practice. The licensee will not be required to remit the biennial renewal fee during the period when the license is on inactive status. 2829. 279.1(a)(3) and (7)). This section cited in 49 Pa. Code 21.34 (relating to removal from approved list); and 49 Pa. Code 21.41 (relating to notification; completion of program; records). In a health care facility regulated by the Department of Health, the Department of Public Welfare or the Federal government, information pertaining to the prescription, administration or dispensation of a controlled substance shall be entered in the medical records of the patient and the health care facility under 28 Pa. Code or 55 Pa. Code or appropriate Federal regulations, whichever is applicable, and bylaws of the health care facility and its medical staff. (4)October 31 in the odd-numbered years. The provisions of this 21.508 added under section 2.1(k) of The Professional Nursing Law (63 P.S. The provisions of this 21.504 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. Stephens v. State Board of Nursing, 657 A.2d 71 (Pa. The standards of practice are defined and delineated by the profession and 21.18 and 21.284 (relating to standards of nursing conduct; and prescribing and dispensing parameters). Immediately preceding text appears at serial page (103882). For degree-granting and diploma nursing education programs, the submission shall be made at least 8 months prior to the intended admission date of students. (v)Creating a reasonable likelihood of bodily injury to a child through any recent act or failure to act. (a)The faculty shall be employed by and responsible to the controlling institution. (d)Upon approval of a continuing education activity under subsection (b), the Board will determine the number of continuing education hours awarded for the activity. Consideration must be given to scholastic aptitude, academic achievement, personal qualities and physical and emotional health necessary to fulfill the objectives of the program. The provisions of this 21.164 amended July 1, 1983, effective July 2, 1983, 13 Pa.B. (b)Cooperating agencies outside of this Commonwealth shall be subject to the following: (1)The state board of nursing of the state in which the cooperating agency is located shall be contacted to determine the approval status of that agency in that state. 1916. This section cited in 49 Pa. Code 21.803 (relating to applicability of rules relating to professional nurses). (b)Student employment shall be on a voluntary basis and not a requirement of the institution. 804; amended October 22, 1976, effective October 23, 1976, 6 Pa.B. The provisions of this 21.182 amended under section 506 of The Administrative Code of 1929 (71 P.S. For a nurse practitioner who obtained initial certification in a specialty before February 7, 2005, and who does not hold current National certification, the specialty designation shall be demonstrated by certification from the nurse practitioners original state of certification. (a)The following application fees are charged by the Board: Restoration of certificate after suspension or revocation $60, Reactivation of inactive or lapsed certificate (5 years or longer) $50, Approval of each hour of CNS continuing education activity by sources not listed in 21.825(a) (relating to sources of continuing education) $115, Renewal of approval of CNS continuing education activity by sources not listed in 21.825(a) $35. (2)An individual applying for a temporary practice permit for a currently-licensed practical nurse shall demonstrate proficiency in English by submitting proof that the individuals nursing education program was conducted in English or that the individual has received a passing score on a Board-approved English proficiency examination. The provisions of this 21.25 amended October 22, 1976, effective October 23, 1976, 6 Pa.B. 2061. (5)For school nurses, evidence that the nurses certification by the Department of Education is current. A program on initial approval status that fails to achieve an acceptable rate of passing the National licensure examination upon graduation of its first class will be placed on provisional approval status. 2677. (iii)Assess the programs effectiveness in attaining program objectives. The provisions of this 21.822 amended March 25, 2022, effective March 26, 2022, 52 Pa.B. (c)The Board shall be informed in writing concerning the permanent placement of these records. An applicant for initial certification by endorsement shall have completed at least 3 hours of approved training in child abuse recognition and reporting in accordance with 21.508(a) as a condition of certification. (13)Perform disability assessments for the program providing temporary assistance to needy families (TANF). A CNS seeking to renew certification shall verify compliance with continuing education requirements. TreatingSelection and performance of those therapeutic measures essential to the effective execution and management of the nursing regimen and execution of the prescribed medical regimen. The provisions of this 21.156 amended under section 17.6 of the Practical Nurse Law (63 P.S. 2061; amended December 16, 2016, effective December 17, 2016, 46 Pa.B. 659 and 667.6). Harrisburg, PA 17105-2649. (a)An applicant shall demonstrate proficiency in English by submitting proof that the applicants nursing education program was conducted in English or that the applicant has, prior to being approved to take the licensure examination, received a passing score on a Board-approved English proficiency examination, unless the applicant has already met this requirement in satisfaction of 21.7(b)(2) (relating to temporary practice permits). 218.5(c)(2)). (a)A program that meets and maintains the requirements of 21.361, 21.36521.369 and 21.37221.375 will be granted full approval status. The Board may grant a temporary practice permit to a graduate registered nurse as follows: (1)A graduate registered nurse who wishes to practice professional nursing shall submit an application for a temporary practice permit for a graduate registered nurse on a form provided by the Board and remit the fee specified in 21.5 (relating to fees). The Pennsylvania State Nurses Association supports legislation and registered nurse delegation that will place specific language into the Nurse Practice Act that will clarify the practice of delegation for the Commonwealth's RNs. Immediately preceding text appears at serial pages (363484) to (363485). 2063; reserved December 11, 2009, effective December 12, 2009, 39 Pa.B. ApprovedApproved by the Board. The provisions of this Subchapter H adopted July 16, 2010, effective July 17, 2010, 40 Pa.B. Immediately preceding text appears at serial page (30258). (ii)Provision shall be made for adequate storage space to maintain the safety and security of the library materials and holdings. The provisions of this 21.149 adopted May 19, 2006, effective May 20, 2006, 36 Pa.B. (a)The practical nursing program shall be established as an educational unit of the controlling agency. Distance learning continuing educationContinuing education in which the individual participates in the educational activity by means of electronic media or through refereed journals, rather than in a classroom, laboratory or clinical setting where the faculty and participant are physically located in the same room. (e)The nurse administrator and nursing faculty shall be afforded the time and opportunity to engage in leadership activities within their profession commensurate with their responsibilities. 222.1(k)); section 17.6 of the Practical Nurse Law (63 P.S. 2063; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. Systematic evaluation planAn organized, continuous analysis of all nursing education program components, such as curriculum, faculty, facilities, policies and outcome measures, that addresses standards or benchmarks to be achieved and establishes an action plan if those standards or benchmarks are not achieved. Applicants who were initially licensed or certified by another state, territory or possession of the United States or a foreign country after February 7, 2005, shall hold current National certification in the specialty in which the nurse is seeking certification. (a)The certification, and prescriptive authority approval, if applicable, of a CRNP will expire at the same time as the CRNPs registered nurse license as provided in 21.29 (relating to expiration and renewal of license). The Board may extend the time period for correction of deficiencies at its discretion if the program is making demonstrable progress toward the correction of deficiencies. 2677; amended September 16, 1983, effective September 17, 1983, 13 Pa.B. 9799.55(b) (relating to registration). 2829. Immediately preceding text appears at serial pages (385203) to (385204). (iv)Professional leadership, such as holding an elective office in a dietetics or dietetics-related organization. (a)A CRNP shall comply with State, Federal and facility regulations regarding identification of personnel. (E)Safely and appropriately select pharmacologic agents for the management of client health problems based on client variations, the problem being managed, and cost effectiveness. (iii)A physician available to a CRNP on a regularly scheduled basis for referrals, review of the standards of medical practice incorporating consultation and chart review, drug and other medical protocols within the practice setting, periodic updating in medical diagnosis and therapeutics and cosigning records when necessary to document accountability by both parties. The provisions of this 21.723 amended under sections 2.1(k) and 12.1(a) of The Professional Nursing Law (63 P.S. 211225.5), unless otherwise noted. (a)The curriculum shall be designed to meet the stated objectives of the program. (h)The director or coordinator and nursing faculty of the program shall be afforded the time and opportunity to engage in leadership activities within their profession as are commensurate with their educational responsibilities. Immediately preceding text appears at serial pages (363482) to (363484). (a)The consent of the patient to any sexual impropriety or violation is not a defense to any disciplinary charge for violation of the act or this subchapter. (3)Official transcript from the applicants nurse practitioner program, including degree awarded.
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